Wendy Marie Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

343224 Issued in NY

Practice address

411 Main St
Suite 300
Catskill, NY 12414

Phone

(518) 719-3580

Fax

(518) 719-3797

NPI assigned

Apr 6, 2011

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wjohnson@greenecountyfamilyplanning.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Greene

  dba Greene County Community Health

  • Clinic/Center
  • Catskill, NY
  • NPI 1932281706
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1629367024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "address_2": "SUITE 300",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141363",
            "telephone_number": "518-719-3580",
            "fax_number": "518-719-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "address_2": "SUITE 300",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "12414",
            "telephone_number": "518-719-3580",
            "fax_number": "518-719-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343224",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NY",
            "license": "536360-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Y Rabadi MD PC
• Ibrahim Y Rabadi MD PC
• Kevin Edward Irish, M.D.
• Katherine M Izzo, RN
• Jefferson Heights Pharmacy
• Donna J. Juliano, RN
• Kaaterskil Operating LLC
• Haroutioun Kalaidjian, RPH
• Allen Ira Kaplan, OD
• Iqbal Karim, MD

• Family Nurse Practitioner in Catskill, NY
• Providers in Catskill, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.